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12,438 Medicaid Nursing Homes With a Clean Record in the United States

12,438 of the 14,697 Medicare-certified nursing homes in the United States (85%) are Medicaid-certified, clean-record, and all are listed below. 2315 of the 12405 graded homes earn an A and 367 earn a D or F. Nurse staff turnover runs 45.3%, 0.5 points lower than the 45.8% across all homes there. Mclean Health Center in Simsbury grades highest at A (100 out of 100).

How Medicaid-certified, clean-record homes in the United States compare

This group set against every nursing home in the United States, from the current CMS release.

Nursing hours per resident per day

3.84

All homes in the United States: 3.86

Worse than the local average

Nurse staff turnover

45.3%

All homes in the United States: 45.8%

Better than the local average

Average ElderGrade score

75.1/100

All homes in the United States: 73.5/100

Better than the local average

Grade spread

A
B
C

2,315 grade A, 6,506 grade B, 3,217 grade C, 367 grade D,

The best-graded Medicaid-certified, clean-record home in the United States is Mclean Health Center in Simsbury, CT, grade A, 100/100.

Every Medicaid-certified, clean-record nursing home in the United States

Showing 261 to 280 of 12,438, best-graded first.

A

94/100

Dept Of State Hospitals - Napa D/P Snf

Napa, CA · Napa County

CMS 3/536 bedsGovernmentMedicaid
Nurse hours
10.32 /day
Staff turnover
31%
Serious cites
0

State-run homes in California don't usually post nurse staffing of 10.32 hours per resident day, that's roughly two and a half times the national figure, and it shows up in the five-star staffing rating. Weekend coverage holds within about 4% of weekday levels, so the care doesn't thin out on Saturdays, and turnover at 31.3% sits well below the 45.8% national average. The catch is oversight: 25 deficiencies on the current record, including two tied to abuse, with the most recent inspection in May 2026 and a two-star health inspection rating. None of those deficiencies rose to harm or jeopardy level, which matters, but the volume is worth asking about directly.

A

94/100

Berkley Care Center

Denver, CO · Denver County

CMS 5/5118 bedsFor-profitMedicaid
Nurse hours
3.74 /day
Staff turnover
15%
Serious cites
0

Berkley Manor runs on a fairly lean nurse staffing line, 3.74 hours per resident day, just under the national average, and weekends get thinner still, dropping roughly 9% below what the home staffs on weekdays. What stands out instead is retention: 14.5% annual turnover against a national average near 46%, which means the people caring for residents largely stay put. The inspection record is mixed: 29 deficiencies on file, two of them serious enough to involve harm, plus one fine of $17,160, and the most recent inspection was in February 2026. A for-profit limited liability company owns the 118-bed home.

A

94/100

Beth Israel At Shalom Park

Aurora, CO · Arapahoe County

CMS 5/5135 bedsNon-profitMedicaid
Nurse hours
4.13 /day
Staff turnover
14%
Serious cites
0

Beth Israel At Shalom Park runs on numbers families rarely see in one place. Nurse staffing sits at 4.13 hours per resident day, above the national average, though weekends dip about 11% below the home's own weekday levels, worth asking about if your visits fall on Saturdays or Sundays. Annual turnover of 14.1% is far below the national rate, meaning the people caring for residents tend to stay. The inspection record shows just two deficiencies, none involving harm or abuse, with a recent survey. Three five-star CMS ratings across health inspections, quality measures, and staffing round out a picture of steady, well-staffed care under nonprofit church ownership.

A

94/100

Frasier Meadows Health Care Center

Boulder, CO · Boulder County

CMS 5/554 bedsNon-profitMedicaid
Nurse hours
5.18 /day
Staff turnover
29%
Serious cites
0

Frasier Meadows runs a leaner ship than most. Nurse staffing sits at 5.18 hours per resident day, roughly a third more than the national average, and weekend coverage barely dips, staying within about 7% of weekday levels. That consistency matters, because short weekend shifts are where care problems tend to hide. Staff turnover is 28.8%, well under the national 45.8%, so the people caring for residents here tend to stick around. The record isn't spotless: seven deficiencies, two serious enough to reach harm or jeopardy, one tied to abuse, and three fines totaling $49,202. But a 4-out-of-5 inspection rating and a recent April 2024 inspection suggest those issues were addressed rather than ignored, and the quality measures themselves are strong.

A

94/100

Castle Peak Senior Life And Rehabilitation

Eagle, CO · Eagle County

CMS 5/544 bedsNon-profitMedicaid
Nurse hours
5.02 /day
Staff turnover
44%
Serious cites
0

Castle Peak runs a nonprofit home in Eagle with 44 beds and a staffing level that stands out: about 5.02 nurse hours per resident day, roughly 30% above the national average of 3.86. Weekend coverage slips about 14% below the home's own weekday numbers, and turnover sits at 44.4%, just under the national 45.8%. That strong day-to-day staffing coexists with a mixed inspection record, 22 deficiencies, including 5 at the harm or jeopardy level and 7 tied to abuse, plus two fines totaling $23,580. The most recent inspection was September 19, 2024. Families weighing that inspection history against the staffing and quality marks should ask directly how the abuse-related findings were resolved.

A

94/100

Livewell Connecticut

Plantsville, CT · Capitol County

CMS 5/5120 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
30%
Serious cites
0

Livewell Connecticut runs a nonprofit home of 120 beds in Plantsville, and the numbers behind its record are steady rather than flashy. Nurse staffing sits at 4.78 hours per resident day, roughly a quarter above the national average, and the weekend gap is small enough that care doesn’t drop off much when weekday administrators go home. Staff turnover of 30.4% is well under the national 45.8%, which matters because consistent aides know the residents. Nine deficiencies on the current record with none at the harm level and none abuse-related, plus a March 2025 inspection, points to a home that fixes problems before they escalate.

A

94/100

Seabury

Bloomfield, CT · Capitol County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
4.78 /day
Staff turnover
10%
Serious cites
0

Seabury is a church-affiliated nonprofit in Bloomfield with 72 beds, and the numbers that stand out most are its staffing and its retention. Nurses provide 4.78 hours of care per resident each day, roughly a quarter more than the national average, and weekend coverage dips only about 10% below its own weekday level, a far smaller drop than many homes see. Annual turnover of 10.4% is remarkably low against a national average near 46%, meaning familiar faces are likely to stay familiar. The current record shows 16 deficiencies, none at the harm level and none abuse-related, with one fine of $28,105 and an inspection in March 2024.

A

94/100

Avalon Health Care Center At Stoneridge

Mystic, CT · Southeastern Ct County

CMS 5/540 bedsFor-profitMedicaid
Nurse hours
4.80 /day
Staff turnover
27%
Serious cites
0

Avalon Health Care Center at Stoneridge runs on more nursing hours than most homes in the country, 4.80 per resident day against a national average of 3.86. That's roughly a quarter more hands-on time, and the staff tends to stay: turnover sits at 27.1% while the national figure is closer to 46%. Weekend coverage does thin out, running about 11% below its own weekday pace, so ask how that plays out on a Sunday afternoon. The inspection record is a mixed picture worth reading carefully. Eight deficiencies, including one at the harm or jeopardy level and two tied to abuse, plus a single $8,018 fine. The most recent state visit was September 2024. Staffing is clearly the strength here; the survey history is where your questions should go.

A

94/100

Forest Hills Of Dc

Washington, DC · The District County

CMS 5/555 bedsNon-profitMedicaid
Nurse hours
4.49 /day
Staff turnover
26%
Serious cites
0

Forest Hills Of Dc runs 55 certified beds as a nonprofit, and its inspection record is genuinely solid, a 4/5 health inspection rating and a 4/5 quality measure rating, with the most recent survey done in December 2024. Staff turnover sits at 25.5%, well below the 45.8% national average, which matters for consistency of care. But the staffing star rating is only 1/5, and the deficiency record shows 46 total findings, including one at the harm or jeopardy level and two abuse-related. One fine totaling $9,311 is on file. The staff retention is a real strength; the direct-care staffing level itself is the clear weak point, and that tension shapes what this home looks like day to day.

A

94/100

Life Care Center Of Altamonte Springs

Altamonte Springs, FL · Seminole County

CMS 4/5228 bedsFor-profitMedicaid
Nurse hours
4.04 /day
Staff turnover
34%
Serious cites
0

Life Care Center of Altamonte Springs runs 228 certified beds under corporate for-profit ownership, and the staffing picture is genuinely better than average, 4.04 nurse hours per resident day against a national 3.86, with turnover at 33.6% versus 45.8% nationally, meaning aides and nurses tend to stay longer here than at most homes. Weekends thin out about 11% from weekday coverage, which is worth asking about if your family member needs more help on Saturdays and Sundays. The inspection record is where the concerns sit: 27 deficiencies on the current record, 8 serious enough to reach harm or jeopardy level, 3 tied to abuse, and one $83,493 fine. The most recent inspection was August 2025, so the findings are recent, and the 1-star health inspection rating reflects that. Strong quality measure scores don't cancel out a citation history like this.

A

94/100

Majestic Oaks

Orange City, FL · Volusia County

CMS 5/5150 bedsNon-profitMedicaid
Nurse hours
3.98 /day
Staff turnover
26%
Serious cites
0

Majestic Oaks runs on a nonprofit model with 150 certified beds, and the numbers back up the care. Nurse staffing sits at 3.98 hours per resident day, slightly above the national average, though weekends drop about 12% below the home's own weekday levels, worth asking about if your family member needs consistent weekend attention. Turnover is the real standout: 26.1% against a national average of 45.8%, meaning the people caring for residents tend to stay. One deficiency on the current record, none involving harm or abuse, and the last inspection was in December 2024.

A

94/100

Okeechobee Health Care Facility

Okeechobee, FL · Okeechobee County

CMS 5/5210 bedsFor-profitMedicaid
Nurse hours
4.25 /day
Staff turnover
23%
Serious cites
0

Okeechobee Health Care Facility runs 210 beds under for-profit LLC ownership, and the staffing numbers here are genuinely strong: 4.25 nurse hours per resident day, about 10% above the national average, with a 5/5 CMS staffing rating to match. Turnover sits at 23% against a national average near 46%, which matters more than almost anything else for consistent daily care. Weekend staffing dips roughly 9% below its own weekday level, so ask how that plays out on Sundays. Eight deficiencies on record, none at harm or jeopardy level and none abuse-related, with the last inspection in April 2024. Quality measures score 5/5; health inspections sit at 3/5, the one area trailing the rest.

A

94/100

Springtree Rehabilitation & Health Care Center

Sunrise, FL · Broward County

CMS 5/5110 bedsFor-profitMedicaid
Nurse hours
4.33 /day
Staff turnover
13%
Serious cites
0

Springtree runs on unusually steady ground. Nurse staffing sits at 4.33 hours per resident day, roughly 12% above the national average, and only 13.3% of staff left last year against a national turnover rate near 46%, that kind of retention usually shows up in how consistently residents see the same faces. Weekends dip about 10% below weekday coverage, so ask how that gap gets handled. The 13 deficiencies on record include none tied to harm or abuse, and the most recent inspection was in May 2024. It's a for-profit LLC, so worth asking who owns it and how long they've held it.

A

94/100

Spring Lake Rehabilitation Center

Winter Haven, FL · Polk County

CMS 5/5132 bedsFor-profitMedicaid
Nurse hours
4.61 /day
Staff turnover
29%
Serious cites
0

Spring Lake Rehabilitation Center runs on 4.61 nurse hours per resident day, about 20% more than the national average, and its staff tends to stay, turnover is 28.8% against a national 45.8%. That kind of retention shows up in consistency of care. Weekend staffing dips roughly 13% below weekdays, which is worth asking about if your family visits mainly on Saturdays and Sundays. The home carries 15 deficiencies on its current record, none involving harm, jeopardy, or abuse, and it was last inspected in February 2025. For-profit partnership ownership, 132 beds, with a three-star health inspection rating that trails its stronger marks for staffing and quality measures.

A

94/100

Boca Pointe Center For Rehabilitation And Healing

Boca Raton, FL · Palm Beach County

CMS 5/560 bedsFor-profitMedicaid
Nurse hours
5.10 /day
Staff turnover
19%
Serious cites
0

Stratford Court of Boca Raton runs 60 certified beds under corporate for-profit ownership, and the staffing numbers stand out: 5.10 nurse hours per resident day, roughly a third more than the national average. Weekend coverage dips about 10% below its own weekday level, so ask how that plays out on a Sunday. Annual turnover of 19.2% is well under half the national rate, which suggests a stable crew. The inspection record shows 20 deficiencies, none at harm or jeopardy level and none abuse-related, with the last visit in September 2024. The health inspection rating sits at 3 out of 5, softer than the staffing and quality scores.

A

94/100

Inn At Sarasota Bay Club

Sarasota, FL · Sarasota County

CMS 4/544 bedsFor-profitMedicaid
Nurse hours
5.75 /day
Staff turnover
42%
Serious cites
0

The Inn at Sarasota Bay Club runs on 5.75 nurse hours per resident per day, roughly half again the national average of 3.86, and it holds that level on weekends instead of thinning out. Staff turnover sits at 42.2%, a bit better than the 45.8% national figure, which matters for whether caregivers actually know the residents. Eleven deficiencies appear on the current record, none causing harm or jeopardy and none abuse-related, with the most recent inspection in August 2024. For-profit corporate ownership is the one thing here that doesn't distinguish it; the staffing numbers do.

A

94/100

Moosehaven

Orange Park, FL · Clay County

CMS 5/572 bedsNon-profitMedicaid
Nurse hours
5.34 /day
Staff turnover
19%
Serious cites
0

Moosehaven runs on 5.34 nurse staffing hours per resident day, roughly 38% above the national average, and weekend coverage dips only about 10% below its own weekday levels, a smaller drop than many homes see. The bigger number is turnover: 19.4% annually against a national average near 46%, meaning the people caring for residents largely stay put. Inspections back it up, with a five-star health inspection rating and just five deficiencies on record, none at the harm level and none abuse-related. The most recent inspection was in August 2024, so the picture is current. For a 72-bed nonprofit in Orange Park, the staffing consistency and low turnover are doing most of the work here.

A

94/100

Candler Skilled Nursing Unit

Savannah, GA · Chatham County

CMS 5/522 bedsNon-profitMedicaid
Nurse hours
7.95 /day
Staff turnover
30%
Serious cites
0

Candler Skilled Nursing Unit runs 22 certified beds as a nonprofit, and the staffing numbers are the story here: 7.95 nurse hours per resident per day, roughly double the national average of 3.86. That holds up on weekends too, dipping only about 2% below weekday levels when many homes thin out. Turnover sits at 30.4%, well under the 45.8% national figure, which suggests people stay. The tradeoff is a middle-of-the-road 3/5 on quality measures, though the 4/5 inspection rating and seven deficiencies with none at harm or jeopardy level look clean. A small unit with this much nurse time per resident is unusual, and the recent March 2026 inspection means the record is current.

A

94/100

Willowbrooke Court At Lanier Village Estates

Gainesville, GA · Hall County

CMS 5/548 bedsNon-profitMedicaid
Nurse hours
4.24 /day
Staff turnover
23%
Serious cites
0

Willowbrooke Court runs 4.24 nurse hours per resident day, roughly a tenth more than the national average, and its staff tends to stay, turnover is 23.1% against a national figure near 46%. Weekend coverage dips about 6% below weekday levels, a gap worth asking about if your family visits Saturdays and Sundays. The home carries eight deficiencies on its current record, none at the harm or jeopardy level and none abuse-related, with the most recent inspection in September 2025. It's a 48-bed nonprofit in Gainesville, and the staffing and inspection numbers are doing the heavy lifting here.

A

94/100

Kauai Veterans Memorial Hospital

Waimea, HI · Kauai County

CMS 5/520 bedsNon-profitMedicaid
Nurse hours
4.85 /day
Staff turnover
10%
Serious cites
0

Kauai Veterans Memorial Hospital is a small state-run home, 20 certified beds, where the caregiver hours per resident run about 26% above the national average, and staff turnover sits at 9.5% against a national 45.8%. That kind of retention is rare, and the quality measures score reflects it. The problem isn't the people; it's the building's history. Twenty-one deficiencies on the current record, two of them serious enough to put residents in harm's way, landed this home in CMS's Special Focus Facility program, and the inspection star tells the same story. Weekend staffing also dips about 11% below weekdays. One fine on record, $34,588. The last inspection was September 2024.

Frequently asked questions

How many Medicaid-certified, clean-record nursing homes are there in the United States?
There are 12,438 Medicaid-certified, clean-record Medicare-certified nursing homes in the United States, 85% of the 14,697 nursing homes there.
Are Medicaid-certified, clean-record nursing homes better staffed?
In the United States they average 3.84 total nursing hours per resident per day, against 3.86 for all nursing homes in the United States, a difference of -0.02 hours. Staff turnover averages 45.3% against 45.8%.
Which Medicaid-certified, clean-record nursing home grades best in the United States?
Mclean Health Center in Simsbury, CT, grade A, 100 out of 100.
Does being Medicaid-certified, clean-record mean a nursing home is safe?
No. Of the 12,405 graded Medicaid-certified, clean-record homes in the United States, 2,315 grade A and 367 grade D or F.
Do Medicaid-certified, clean-record nursing homes in the United States accept Medicaid?
12,438 of the 12,438 are certified to accept Medicaid. See Medicaid and nursing homes.

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